宫腔镜下双极等离子电切术与诊刮术治疗子宫内膜息肉患者的疗效对比  

Retrospective comparative analysis of the effects of bipolar plasma electrosection under hysteroscopy and curettage under hysteroscopy on the recurrence rate and perioperative indicators in patients with endometrial polyps

作　　者：武效梅 陈雪萍 宫琳琳 WU Xiaomei;CHEN Xueping;GONG Linlin(Xingyang People's Hospital,Xingyang 450100,China)

机构地区：[1]荥阳市人民医院,河南荥阳450100

出　　处：《临床医药实践》2025年第1期38-42,共5页Proceeding of Clinical Medicine

摘　　要：目的:对比分析宫腔镜下双极等离子电切术与宫腔镜下诊刮术治疗子宫内膜息肉患者的效果。方法:选择2021年5月—2024年1月收治的子宫内膜息肉患者103例,按照手术方案的不同分为对照组(51例)和观察组(52例)。对照组行宫腔镜下诊刮术,观察组行宫腔镜下双极等离子电切术。统计对比两组基础指标、子宫内膜厚度、月经量、炎症反应、并发症以及复发状况。结果:观察组月经恢复时间、住院时间、手术时间均短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。术后3个月,观察组月经量少于对照组,子宫内膜厚度小于对照组,中性粒细胞、白细胞计数、超敏C-反应蛋白水平低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率、复发率均低于对照组,差异有统计学意义(P<0.05)。结论:与宫腔镜下诊刮术相比,宫腔镜下双极等离子电切术治疗子宫内膜息肉,可明显改善手术效果、子宫内膜厚度与月经量,抑制炎性反应,减少并发症,降低复发率。Objective:To compare and analyze the effects of bipolar plasma electrosection under hysteroscopy and curettage under hysteroscopy in the treatment of endometrial polyps.Methods:A total of 103 cases with endometrial polyps admitted to Xingyang People's Hospital from May 2021 to January 2024 by a retrospective study.All patients underwent surgery and were divided into two groups according to different surgical schemes.The control group(51 cases)underwent hysteroscopic curettage,and the study group(52 cases)underwent hysteroscopic bipolar plasmakinetic resection.The basic indicators,endometrial thickness,menstrual volume,inflammatory response,complications and recurrence of the two groups were statistically compared.Results:Compared with the study group,the control group had a longer menstrual recovery time,hospitalization time,operation time,and intraoperative blood loss(P<0.05).Three months after surgery,compared with the study group,the control group had more menstrual flow and thicker endometrial thickness,and the improvement was lower(P<0.05).Three months after surgery,compared with the study group,the control group had higher levels of neutrophils,white blood cell counts,and high-sensitivity C-reactive protein,with a higher increase(P<0.05).The complication rate and recurrence rate in the study group were lower than those in the control group(P<0.05).Conclusion:Compared with hysteroscopy curettage,hysteroscopy bipolar plasma kinetic resection can significantly improve the surgical effect,improve endometrial thickness and menstrual flow,inhibit inflammatory reactions,reduce complications,and reduce recurrence rate in the treatment of endometrial polyps.

关 键 词：宫腔镜下双极等离子电切术 宫腔镜下诊刮术 子宫内膜息肉 复发 

分 类 号：R713.4[医药卫生—妇产科学]